Psychotherapy, Mishonga, Hospitalisation, uye Self-Kubatsira BPD
Kune marudzi akasiyana-siyana ekurapa kunobudirira kwemiganhu yemunhu (BPD) . Ndeapi marapirwo anoita seanoshanda zvakanaka, uye chii chandinofanira kuziva pamusoro pezvinhu zvinowanikwa?
Overview
Kazhinji, BPD inorapwa nekubatanidzwa kwemishonga uye psychotherapy, kunyange munguva dzekutambudzika, vanhu vane BPD vangada nguva shomanana dzekuchengetwa kuti varambe vakachengeteka.
Munguva pfupi yapfuura, zvigadziro zvekubatsira zvakagadzirwa kuti zviwedzerwe kurapa kweBPD.
Psychotherapy
Yenguva refu yepatient psychotherapy , kana kuti "kutaura chirwere," chikamu chinokosha chekupi kurapa kweBPD. Kutsvakurudza kwakaratidza kuti mhando dzakasiyana dzepfungwa dzepfungwa dzinoshanda mukuderedza zviratidzo zveBPD, kusanganisira:
- Dialectical Behavior Therapy (DBT)
Dialectical behavior therapy (DBT) ndiyo ndiyo nzira yokutanga yepfungwa yepfungwa inowanikwa kuti inoshanda kune vanhu vane borderline personality disorder (BPD.) DBT inzira yekuziva kugadzirisa maitiro inotarisa maonero nemaitiro zvinogona kutungamirira kune zviito uye maitiro. Mukurapa uku, vanhu vanodzidza nzira yekugadzirisa kukakavara, uye kudzidza ruzivo kuti vabatsirwe kubata nemasimba akasimba. Kunyatsofungisisa kufungisisa kunowanzobatanidzwa. - Schema Focused Therapy
Schema yakarongedza chirwere ichiwo chimiro chekufungisisa maitiro ekurapa kweBPD. Schema yakarongedza chirongwa chinoshanda pamwe nekufungidzira kuti kusagadzikana kunoda kubva paudiki kunogona kutungamirira kune nzira dzisina kunaka dzekufunga pamusoro penyika. Iko kurapa kunotarisana nekusangana nematambudziko aya uye mafambiro uye panzvimbo pekutsvaga nzira dzakanaka dzekufunga uye kubata.
- Mentalization Based Therapy
Mentalization based therapy yakadzidziswa kune imwe nzvimbo yeBPD uye inogona kubatsira nekuzvidya mwoyo uye kuora mwoyo pamwe nekushanda kwevanhu. Iko kurapa kunotarisa pakubatsira muchengeti kuti azive pfungwa-pfungwa dzake pachake uye manzwiro, pamwe chete nemafungiro nemanzwiro evamwe anotaura navo. Nokubvuma iye zvino anokwanisa kuona kuti pfungwa idzi dzinobatsira sei maitiro ake kana mufambiro wevamwe.
- Kuchinja Kunotarisa Psychotherapy
Kuchinja kwepfungwa kwakagadziriswa neBPD uye kunogona kunge yakanaka kana kuti inopfuura nzira yekurapa inoratidzira maererano nezvinyorwa izvi. Izvi zvinoshandisa pfungwa yekuwedzerwa-kutumira manzwiro kubva kune mumwe munhu kune mumwe, iyo inokosha mupfungwa mune zvepoddyamic therapies . Kufambisa pfungwa inonzi psychotherapy inoshandisa ukama huri pakati pemuteresi uye mushonga kuitira kuti mushonga anokwanisa kuona kuti muteresi anorondedzera sei kune vamwe. Murapi anogona kushandisa ikoku kuziva kuti abatsire munhu kupindura zvinobudirira mune dzimwe hukama hwavo.
Mishonga
Kunyange zvazvo iye zvino pasina mishonga ye borderline personality disorder yakagamuchirwa neDFA, tsvakurudzo yakaratidza kuti mamwe mishonga inoderedza zvimwe zviratidzo zvechirwere. Mishonga inogona kunge inonyanya kushanda kune BPD kana inoshandiswa pamwe chete neyepfungwa. Mukuwedzera pakubatsira nezviratidzo zveBPD, mishonga inogona kubatsira nekubatana kwemamiriro ezvinhu ehutano hwepfungwa zvakadai sekuzvidya mwoyo kana kuora mwoyo.
Mimwe yemishonga inowanzopiwa miviri yeBPD inosanganisira:
- Anodzvinyirira - Antidipressants inogona kubatsira nemanzwiro akadai sekusuwa, asi haisi kuonekwa kuti anobatsira zviratidzo zvakadai sekutsamwa.
- Antipsychotics - Antipsychotics yaiva imwe yemishonga inoshandiswa kurapa BPD uye inogona kunyanya kubatsira kune dzimwe zviratidzo zvinonetsa zvinokonzerwa neBPD zvakadai sekutsamwa, kusagadzikana, uye kufunga kwepanoid.
- Anxiolytics (anti-anxiety medicaitons) - Kuzvidya mwoyo kunogona kufamba pamwe chete neBPD kuita mamwe aya mishonga inobatsira, asi mamwe acho iine bakatwa rakapetwa kaviri pamusana pekuda kwavo kuwandisa.
- Maitiro ekusimudzira / anticonvulsants - Maitiro anodzivirira anogona kubatsira nemafungiro asina kufanira anowanikwa neBPD.
Zvimwe zvinogona kurapwa, zvakadai se omega-3-fatty acids, zviri kuongororwawo. Muzvokwadi, zvidzidzo zvekusangana hazvina kuwana ruzivo rwakakosha kubva kune mishonga yakawanda yeBPD kunze kwokuti atypical antipsychotics (zvizvarwa zvechipiri antipsychotics), stabilzers, uye omega-3-fatty acids.
Hospitalization
Borderline hutano hwehutano hunobatanidza nematambudziko anorwadza mupfungwa. Somugumisiro, vanhu vane BPD vangada chirwere chakasimba cheBPD. Dzimwe nguva vanhu vane BPD vanobvumirwa kuchipatara chepfungwa nokuda kwehutano hwekurapa . Inpatient treatment inoda iwe kugara usiku hwose muchipatara.
Imwe nzira yekurapa ndeyokusarudzwa kwechipatara kana kushandiswa kwezuva. Aya mapurogiramu anowedzera kudarika kupfuura zvepakati pepfungwa dzepfungwa, asi haadi kuti iwe ugare usiku hwose. Iwe unogona kunge wakanyoresa muchipatara chisina kukodzera kana purogiramu yezuva kana iwe ungangotarisana nechinetso, kana kana uchangobva kusunungurwa kubva muchipatara chechipatara uye unoda nguva yekurapa kwakanyanya kuti uone kuti dambudziko haringadzokizve.
Self Help
Nzira dzekuzvibatsira dzeBPD idzi chikamu chinokosha chepurogiramu yehutano chero ipi zvayo. Zvechokwadi, idzi dzinofanira kushandiswa kuwedzera kutarisirwa kubva kune unyanzvi anoziva uye kwete oga. Chirongwa chakanaka chinosanganisira kudzidza zvakawanda sezvaunokwanisa pamusoro pehutano hwako kuburikidza nedzidzo yekuzvidzivirira, kudzidza unyanzvi hwekugadzirisa hutano hweBPD , nekuwana nzira dzokukubatsira kuratidza nekugadzirisa manzwiro ako.
Pane humwe humwe hunokosha huripo huripo huripo huripo hweBPD hunogona kushandiswa pamwe chete nedzimwe nzira dzekurapa. Mabhuku uye mabhuku eIndaneti anopa ruzivo pamusoro peBPD uye anopa nzira dzokugadzirisa zviratidzo.
Zvaunofanira Kuita mune Emergengcy
Kana iwe kana mumwe munhu waunoda ari kutambura kwehutano hwepfungwa, zvakakosha kuti uwane rubatsiro pakarepo. Dana 911 kana kuenda kunzvimbo yako yepamhanho yekukurumidzira. Kana pane uchapupu hwokuti iwe (kana mudiwa wako) uri ngozi kune iwe pachako kana kune vamwe, unogona kubvumirwa kuti ugare muchipatara kwenguva pfupi pane chirwere chepfungwa chepfungwa chisati chaitika kusvikira dambudziko rapfuura. Zvinokurudzirwa kuti ani naani anogara neBPD akaisa pamwe chirongwa chekuchengeteka kweBPD . Muchirongwa ichi unogona kutarisira dambudziko uye kuronga hurongwa pamusoro pekuti iwe uchagadzirisa sei manzwiro ako vasati vava dambudziko.
Sources:
Combs, G., naL. Oshman. Pearls for Working with People Who Has Person Disorder Discover. Primary Care . 2016. 43 (2): 263-8.
Vagadziri, J., naK. Lieb. Pharmacotherapy yeBorderline Personality Disorder - Iyezvino Uchapupu uye Maitiro Akangobva Kuitika. Nhoroondo dzepanguva yePsychiatry . 2015. 17 (1): 534.
Vagadziri, J., Vollm, B., Rucker, G., Timmer, A., Huband, N., naK. Lieb. Psychological Therapies yevanhu vane Borderline Personality Disorder. Cochrane Database yekuongorora kwakarongeka . 2012. 8: CD005652.